26D1046059 CLIA NUMBER - AFFINIA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 26D1046059
  • Facility Name: AFFINIA HEALTHCARE
  • Facility Address: 3396 PERSHALL ROAD
    FERGUSON, MO
    ZIP 63135
  • Facility Phone: 314 814-8758
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MELISSA D. TEPE
  • NPI Number: 1407393960
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1046059
LAB Type Federally Qualified Health Center
Facility Name AFFINIA HEALTHCARE
Street 3396 PERSHALL ROAD
City FERGUSON
State MO
ZIP 63135
Phone 314 814-8758
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Federally Qualified Health Center
Lab Director MELISSA D. TEPE

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This page was last updated on: 9/29/2025